| 000 -LEADER |
| fixed length control field |
01112pab a2200121 454500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
| fixed length control field |
180718b xxu||||| |||| 00| 0 eng d |
| 100 ## - MAIN ENTRY--PERSONAL NAME |
| Personal name |
Kolehmainen-Aitken, Riitta-Liisa |
| 245 ## - TITLE STATEMENT |
| Title |
The impact of decentralization on health workforce development in Papua New Guinea |
| 520 ## - SUMMARY, ETC. |
| Summary, etc. |
Papua New Guinea decentralized a wide range of health functions to provincial governments between 1977 and 1983. The national Department of Health (DOH) was given no role in provincial budget and staffing decisions, and the national health budget was fragmented into the health components of provincial budgets. The impact of decentralization on health work-force development was particularly severe and largely unforeseen. Many difficulties were inherent in the manner in which dencentralization regulations structured power relationships. Others arose as a result of the administrative confusion and inflamed relationships that accompanied the forceful transfer of power from a very reluctant national DOH to the p |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
| Topical term or geographic name entry element |
Decentralisation - Papua New Guinea |
| 773 ## - HOST ITEM ENTRY |
| Main entry heading |
Public Administration and Development |
| 909 ## - |
| -- |
21918 |